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Blue Ridge Medical Management Corporation — NPI 1073801072, Johnson City, TN | NPI Central

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NPI 1073801072

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Blue Ridge Medical Management Corporation

NPI 1073801072 · Psychiatry Physician · Johnson City, TN

Provider details

NPI number: 1073801072
Entity type: Organization
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Carl Kilgore, President(423) 302-3051

Specialties & taxonomies

Psychiatry PhysicianPrimary2084P0800X
Allopathic & Osteopathic Physicians

Practice location

2 Professional Park Dr

Suite 15

Johnson City, TN 37604-6583

Phone: (423) 979-0565

Fax: (423) 979-0569

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

2 Professional Park Dr

Johnson City, TN 37604-6583

Other names (DBA / former)

Other name: Bhma Behavioral Health Eap Jc
Doing business as: Ballad Health Medical Associates
Doing business as: Msmg Beh Hlth Jc a

Registry dates

Enumerated: 2011-07-12
Last updated: 2019-03-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.